Individual provider Active NPI

Carlotta Hample, MD

  • Pediatric Gastroenterology Physician
  • Camden, NJ
National Provider Identifier
1578633921
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
25MA09782200 Issued in NJ
Practice address
3 Cooper PLZ RM 200
Camden, NJ 08103-1438
Phone
(856) 342-2001
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 207819 NY
Pediatric Gastroenterology Physician 2080P0206X 25MA09782200 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 200
Camden, NJ 08103-1438

Mailing address

Lijmc - Pediatric Gastroenterology
269-01 76TH Avenue
New Hyde Park, NY 11040
Phone (718) 470-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NJ, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221026001788 KY Practitioner - GastroenterologyPractitioner - Pediatric Medicine 9234028853 Reassigns benefits to 1 organization
I20250205001173 NJ Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9234028853 Reassigns benefits to 1 organization
I20251027004352 IL Practitioner - Pediatric MedicinePractitioner - Gastroenterology 9234028853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
Drexel University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

1700 W Van Buren St
Suite 161
Chicago, IL 60612-3228

1725 W Harrison St
Suite 710
Chicago, IL 60612-3863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09782200NJMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Spectrum Health Primary Care Partners Pediatric Gastroenterology CurrentSince Jan 5, 2026 Accepting new patients
Rush University Medical Group CurrentSince Oct 7, 2025 Accepting new patients
Rush University Medical Center CurrentSince Oct 7, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 5, 2026 Accepting new patients
Physicians of University Hospital, PC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Cooper Pediatric Specialists, PC CurrentSince Feb 1, 2025 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

231 E Chestnut St
Ste 0
Louisville, KY 40202

35 Michigan St NE
Ste 4150
Grand Rapids, MI 49503
Phone (616) 267-2100

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

1 Cooper Plz
Bldg 7TH
Camden, NJ 08103

6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339

27005 76th Ave
North New Hyde Pk, NY 11040

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

584 Forest Ave
Staten Island, NY 10310
Phone (718) 226-5619

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: chample286825@direct.cooperhealth.edu

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1578633921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIJMC - PEDIATRIC GASTROENTEROLOGY",
            "address_2": "269-01 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPLE",
        "first_name": "CARLOTTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "207819",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": "25MA09782200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.